Does it have to be a stated attestation or can they sign off on the nurses documentation? Some of ours is still on paper so if they sign that paper would that act as an attestation or would the verbiage need to be there as well?
Thanks! Leslie Harris, RN, BSN Stroke and Sepsis Coordinator Southern Hills Medical Center 391 Wallace Road, Nashville, TN 37211 Office: 615-781-4158 Cell: 615-768-0169 Email: [email protected] This email and any files transmitted with it may contain PRIVILEGED or CONFIDENTIAL information and may be read or used only by the intended recipient. If you are not the intended recipient of the email or any of its attachments, please be advised that you have received this email in error and that any use, dissemination, distribution, forwarding, printing, or copying of this email or any attached files is strictly prohibited. If you have received this email in error, please immediately purge it and all attachments and notify the sender by reply email or contact the sender at the number listed. -----Original Message----- From: Sepsisgroups [mailto:[email protected]] On Behalf Of [email protected] Sent: Thursday, August 25, 2016 12:50 PM To: [email protected] Subject: [EXTERNAL] Sepsisgroups Digest, Vol 218, Issue 17 Send Sepsisgroups mailing list submissions to [email protected] To subscribe or unsubscribe via the World Wide Web, visit http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org or, via email, send a message with subject or body 'help' to [email protected] You can reach the person managing the list at [email protected] When replying, please edit your Subject line so it is more specific than "Re: Contents of Sepsisgroups digest..." Today's Topics: 1. Re: [External] SEP-1 Specification Manual for January 2017 Discharges (Townsend, Sean, M.D.) 2. Re: [External] SEP-1 Specification Manual for January 2017 Discharges (Townsend, Sean, M.D.) ---------------------------------------------------------------------- Message: 1 Date: Wed, 24 Aug 2016 15:51:08 -0700 From: "Townsend, Sean, M.D." <[email protected]> To: "Clement, Joseph (DPH)" <[email protected]> Cc: "[email protected]" <[email protected]> Subject: Re: [Sepsis Groups] [External] SEP-1 Specification Manual for January 2017 Discharges Message-ID: <[email protected]> Content-Type: text/plain; charset="utf-8" You are correct in your reading. The LIP can now attest to the reperfusion assessment without giving greater detail. What is more, nursing documentation and a nursing exam can be the basis of that attestation. The only requirement is that the one exam item LIP has to do as part of that attestation is a cardiopulmonary exam. This is huge. I hope you appreciate the change. Our goal wasn't to make people document but rather to conduct an exam and satisfy themselves that the patient was perfusing adequately. As regards antibiotic acceptable delay the provider has to state a delay of 45 minutes or longer would have transpired. Sean On Aug 24, 2016, at 1:49 PM, Clement, Joseph (DPH) <[email protected]<mailto:[email protected]>> wrote: Hello, I'm reviewing the updated specification manual 5.2 for SEP-1, that will go into effect 1/1/17, and I have a few questions - I wonder if others are further along than me. https://www.qualitynet.org/dcs/ContentServer?c=Page&pagename=QnetPublic%2FPage%2FQnetTier3&cid=1228775749207<https://na01.safelinks.protection.outlook.com/?url=https%3a%2f%2fwww.qualitynet.org%2fdcs%2fContentServer%3fc%3dPage%26pagename%3dQnetPublic%252FPage%252FQnetTier3%26cid%3d1228775749207&data=01%7c01%7ctownsesr%40sutterhealth.org%7c9dad663bd1fe4129e4c108d3cc602cd1%7caef453eadaa243e0be62818066e9ff63%7c0&sdata=Lfj7WQvlpCs3T%2b0LsrjWZtrnfLyK42X5rtVyK7r924w%3d> [] The manual says that MD attestation of reassessment, VS review, skin assessment, cardiopulmonary exam, and peripheral pulse exams are acceptable. It also says that "performing, or attesting to performing a physical examination, perfusion (re-perfusion) assessment, or sepsis (severe sepsis or septic shock) focused exam is acceptable." At the risk of asking an obvious question, I just want to make sure I am getting this right. If the MD signs something that says "I attest to having performed a severe sepsis re-perfusion exam at XX:XX", then this would meet the measure requirement? [] I see that a new element was added "Blood Culture Collection Acceptable Delay" - but I'm not clear from the manual what constitutes an acceptable delay. Am I missing something? Can anybody clarify? Thanks in advance! Joe Joseph Clement, MS, RN, CCNS Clinical Nurse Specialist San Francisco General Hospital ph: 628 206-6174 pg: 415 327-0220 office: H5841 _______________________________________________ Sepsisgroups mailing list [email protected]<mailto:[email protected]> https://na01.safelinks.protection.outlook.com/?url=http%3a%2f%2flists.sepsisgroups.org%2flistinfo.cgi%2fsepsisgroups-sepsisgroups.org&data=01%7c01%7ctownsesr%40sutterhealth.org%7c9dad663bd1fe4129e4c108d3cc602cd1%7caef453eadaa243e0be62818066e9ff63%7c0&sdata=BlT2F7r747RhCs%2b9%2bHngzIRsVDD7dev%2bIjCfd%2fn1mSU%3d ------------------------------ Message: 2 Date: Wed, 24 Aug 2016 15:52:34 -0700 From: "Townsend, Sean, M.D." <[email protected]> To: "Clement, Joseph (DPH)" <[email protected]> Cc: "[email protected]" <[email protected]> Subject: Re: [Sepsis Groups] [External] SEP-1 Specification Manual for January 2017 Discharges Message-ID: <[email protected]> Content-Type: text/plain; charset="utf-8" You are correct in your reading. The LIP can now attest to the reperfusion assessment without giving greater detail. What is more, nursing documentation and a nursing exam can be the basis of that attestation. The only requirement is that the one exam item LIP has to do as part of that attestation is a cardiopulmonary exam. This is huge. I hope you appreciate the change. Our goal wasn't to make people document but rather to conduct an exam and satisfy themselves that the patient was perfusing adequately. As regards antibiotic acceptable delay the provider has to state a delay of 45 minutes or longer would have transpired. There are other goodies in version 5.2. On Aug 24, 2016, at 1:49 PM, Clement, Joseph (DPH) <[email protected]<mailto:[email protected]>> wrote: Hello, I'm reviewing the updated specification manual 5.2 for SEP-1, that will go into effect 1/1/17, and I have a few questions - I wonder if others are further along than me. https://www.qualitynet.org/dcs/ContentServer?c=Page&pagename=QnetPublic%2FPage%2FQnetTier3&cid=1228775749207<https://na01.safelinks.protection.outlook.com/?url=https%3a%2f%2fwww.qualitynet.org%2fdcs%2fContentServer%3fc%3dPage%26pagename%3dQnetPublic%252FPage%252FQnetTier3%26cid%3d1228775749207&data=01%7c01%7ctownsesr%40sutterhealth.org%7c9dad663bd1fe4129e4c108d3cc602cd1%7caef453eadaa243e0be62818066e9ff63%7c0&sdata=Lfj7WQvlpCs3T%2b0LsrjWZtrnfLyK42X5rtVyK7r924w%3d> [] The manual says that MD attestation of reassessment, VS review, skin assessment, cardiopulmonary exam, and peripheral pulse exams are acceptable. It also says that "performing, or attesting to performing a physical examination, perfusion (re-perfusion) assessment, or sepsis (severe sepsis or septic shock) focused exam is acceptable." At the risk of asking an obvious question, I just want to make sure I am getting this right. If the MD signs something that says "I attest to having performed a severe sepsis re-perfusion exam at XX:XX", then this would meet the measure requirement? [] I see that a new element was added "Blood Culture Collection Acceptable Delay" - but I'm not clear from the manual what constitutes an acceptable delay. Am I missing something? Can anybody clarify? Thanks in advance! Joe Joseph Clement, MS, RN, CCNS Clinical Nurse Specialist San Francisco General Hospital ph: 628 206-6174 pg: 415 327-0220 office: H5841 _______________________________________________ Sepsisgroups mailing list [email protected]<mailto:[email protected]> https://na01.safelinks.protection.outlook.com/?url=http%3a%2f%2flists.sepsisgroups.org%2flistinfo.cgi%2fsepsisgroups-sepsisgroups.org&data=01%7c01%7ctownsesr%40sutterhealth.org%7c9dad663bd1fe4129e4c108d3cc602cd1%7caef453eadaa243e0be62818066e9ff63%7c0&sdata=BlT2F7r747RhCs%2b9%2bHngzIRsVDD7dev%2bIjCfd%2fn1mSU%3d ------------------------------ Subject: Digest Footer _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org ------------------------------ End of Sepsisgroups Digest, Vol 218, Issue 17 ********************************************* _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
